| NPI | 1336434281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089674-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0808171) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2020-12-21 |